Organization
FORDHAM ROAD RX INC
Active
Other names
FORDHAM ROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI CHENNA (PRESIDENT)
(718) 364-3333
Entity
Organization
Contact information
Practice address
2 E FORDHAM RD, BRONX, NY 10468-5445
(718) 364-3333
(718) 364-3334
Mailing address
2 E FORDHAM RD, BRONX, NY 10468-5445
(718) 364-3333
(718) 364-3334
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04232660
—
NY
01
—
2155137
PK
—
Enumeration date
05/06/2015
Last updated
03/13/2017
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